Qhov xwm txheej zoo li no ua rau muaj kev ceeb ntshai tseem tsis tau qhia meej. Nyob rau hauv lub ntiaj teb kev tshawb fawb, tsuas muaj kev xav txog qhov xwm txheej ntawm qhov tshwm sim no. Tab sis cov niam txiv yuav tsum ua li cas thaum muaj kev kub ntxhov hauv cov menyuam yaus? Yuav txheeb xyuas qhov xwm txheej li cas? Yuav pab tus menyuam li cas? Yuav ua li cas thiaj ua tau ib chav kho mob? Cov lus nug no yuav teb tom qab.
Dab tsi yog qhov tshwm sim?
Dab tsi yog kev ceeb ntshai ntawm cov menyuam yaus? Qhov no yog kev tawm tsam tam sim ntawm muaj zog (qhov tob, tsiaj) ua rau tsis muaj kev ntshai, loj hlob zuj zus. Kev puas siab puas ntsws yog ntxiv los ntawm kev tshwm sim ntawm lub cev - tus menyuam muaj lub plawv dhia ceev, mob hauv siab, ua tsis taus pa, pob hauv caj pas. Ib tug neeg tuaj yeem hnov qhov muag plooj thiab tsis muaj tseeb ntawm qhov tshwm sim rau nws. Qhov nruab nrab, qhov xwm txheej yuav kav li 10-30 feeb.
Nws yog ib qho tseem ceeb uas yuav tau qhia tias kev ceeb ntshai ntawm cov menyuam yaus thiab cov neeg laus tsis yog ib qho kev tshwm sim. Ib tug neeg ntsib lub xeev ib zaug ntxiv. Nws txhim kho phobias, nws ntshai ua rau muaj qhov txaus ntshai no. Daim ntawv protracted (ntau tshaj ib xyoos) hu uaPanic Attack Syndrome.
Qhov tshwm sim siab tshaj plaws tshwm sim thaum muaj hnub nyoog 25-35 xyoo. Feem ntau raug rau tus mob ntawm tus poj niam. Panic tawm tsam hauv cov menyuam yaus tawm tsam keeb kwm yav dhau no tsis tshua muaj. Txawm li cas los xij, tus menyuam yaus yuav muaj kev qaug dab peg, pib txij li hnub nyoog tsis nco qab (3-4 xyoos).
Kev ntshai tawm tsam lawv tus kheej tsis txaus ntshai - tsis muaj leej twg tuag ntawm lawv. Txawm li cas los xij, lawv tuaj yeem ua rau muaj kev ntxhov siab, kev nyuaj siab, kev sim tua tus kheej, kev vam khom tshuaj. Feem ntau kev ceeb ntshai yog harbiners ntawm mob stroke, los ntshav, bronchial hawb pob, thyrotoxicosis.
Nature of the phenomenon
Ntshai heev ntawm tus menyuam muaj 7 xyoo. Vim li cas qhov no tshwm sim? Lub ntiaj teb kev tshawb fawb tseem tsis tau muab cov lus teb meej rau cov lus nug. Muaj ntau qhov kev xav-piav qhia:
- nce ntau ntawm catecholamines - adrenaline, norepinephrine, dopamine. Cov tshuaj hormones no yog tsim los txhawb lub paj hlwb. Lawv tau tsim nyob rau hauv ib lub xeev thaum koj urgently yuav tsum tau khiav, sib ntaus. Nws ntseeg tau tias kev tsim tawm ntau dhau ntawm cov tshuaj hormones ua kom muaj zog tuaj yeem tshwm sim raws li kev ntshai. Los ntawm txoj kev, nrog adrenaline hauv cov hlab ntsha, nws yuav ua rau muaj kev phiv.
- Genetic hypothesis. Ib nqe lus xav paub heev: yog tias tus ntxaib zoo ib yam muaj kev ntxhov siab, ntshai, tom qab ntawd hauv 50% ntawm cov xwm txheej no yuav dhau los ntawm nws tus tij laug lossis tus muam. Txawm tias lawv nyob deb heev. Qhov no tau lees paub los ntawm 15-20% ntawm cov menyuam ntxaib soj ntsuam.
- Psychoanalytic version. Z. Freud thiab nws cov thwjtim ntseeg tias kev tawm tsam txaus ntshai qhia ib tus neeg nrogsib sib zog nqus intrapersonal teeb meem. Qhov tshwm sim ntawm kev tawm tsam ntawm cov xeev uas xav tau kev tso siab. Tsis yog ib qho lus piav qhia zoo rau kev ceeb ntshai ntawm tus menyuam muaj 6 xyoos.
- Kev xav txog kev xav. Lub cev misinterpres nws cov kev xav. Piv txwv li, kev ua cev nqaij daim tawv raug pom tias yog kev hem thawj rau neeg tuag. Hauv kev teb, nws tso tawm cov koob tshuaj adrenaline muaj zog, uas ua rau muaj kev ntshai heev.
- Kev ntshai sab hauv. Tib neeg phobias (ntshai ntawm qhov siab, kab, qhov tsaus ntuj) nyob rau hauv qhov xwm txheej tsim nyog tuaj yeem tig mus rau qhov kev tawm tsam. Qhov no yog qhov zoo rau qhov ua rau muaj kev ntxhov siab hauv 5 xyoos.
Tus me nyuam ua li cas?
Thaum lub sijhawm muaj kev ntxhov siab, qee yam zoo li no tshwm sim hauv tib neeg lub cev:
- A adrenaline maj.
- Qhov tshwm sim - vasoconstriction, nce ua pa thiab lub plawv dhia.
- Npaj ntshav siab.
- Ua pa tsis tu ncua ua rau muaj kev tso tawm carbon dioxide, uas ua rau muaj kev ntxhov siab ntxiv.
- Carbon dioxide hloov pH ntawm cov ntshav. Qhov no ua rau kiv taub hau, loog ntawm ko taw.
- Vasospasm slows tus xa cov pa mus rau cov ntaub so ntswg: lactic acid accumulates, uas intensifies lub manifestation ntawm ib tug nres.
Kev puas siab puas ntsws ua rau mob
Feem ntau ntawm kev ceeb ntshai ntawm cov menyuam yaus yog kev puas siab puas ntsws:
- Phobias.
- Kev nyuaj siab.
- Kev nrawm nrawm ntawm lub neej.
- kev nyuaj siab.
- Post-traumatic stress disorder tom qab muaj xwm txheej,kev ua haujlwm, kev coj ncaj ncees nyuaj, thiab lwm yam.
- pib ntxov ntawm kev sib deev.
- Obsessive-compulsive disorder - ib qho kev ntshai tas li ntawm qhov xwm txheej txaus ntshai thiab tsis txaus siab.
- Schizotypal personality disorder.
Kev ntxhov siab kuj tuaj yeem tshwm sim los ntawm cov tshuaj - glucocorticoids, anabolics, thiab lwm yam.
Pathological ua rau mob
Kev ceeb ntshai tuaj yeem yog qhov tshwm sim ntawm ib qho ntawm cov kab mob loj:
- kab mob plawv ischemic.
- mob plawv mob plawv.
- qog nqaij hlav qog adrenal (tus cwj pwm los ntawm kev tsim tawm ntau dhau ntawm adrenaline).
- Thyrotoxic crisis.
Risk pawg
Nws tseem yog ib qho tseem ceeb los qhia txog cov menyuam yaus uas muaj kev cuam tshuam ntau dua li lwm tus. Cov yam tseem ceeb yuav yog:
- Kev ua neej tsis muaj zog. Tus menyuam lub cev xav tau kev tso siab txhua lub sijhawm - kev ua si, kev ua si nrov, kev sib txuas lus nrog cov phooj ywg. Yog tias tsis yog, qhov kev xav tawm los ntawm kev tawm tsam.
- Kev sib raug zoo, ua kom muaj kev xav thiab kev xav hauv.
- Tsis tsaug zog. Tsis muaj kev pw tsaug zog ua rau muaj zog ntau ntxiv ntawm adrenaline thiab lwm yam tshuaj hormones uas ua rau muaj kev ntxhov siab.
Kev puas siab puas ntsws tshwm sim
Tsim cov tsos mob ntawm kev puas siab puas ntsws ntawm kev ceeb ntshai hauv cov menyuam yaus:
- Ntshai tuag. Nws tuaj yeem hloov mus rau qhov ntshai tsam mob, ua pa, poob ntawm qhov siab, thiab lwm yam.
- Xav txog kev puas tsuaj.
- Ntshai vwm, poob siab.
- Tseem hnov ib lub pob tsis muaj nyob hauv caj pas.
- Derealization ntawm kev muaj tiag: cov nyhuv ntawm qeeb suab, distortion ntawm lub suab, pom cov duab. Zoo li ib tug neeg uas lub ntiaj teb tiag tab tom ploj mus rau hauv keeb kwm yav dhau.
- Kev ua neeg tsis zoo. Zoo li tus me nyuam pom nws lub cev ntawm sab, nws tswj tsis tau nws tus kheej.
- Pre-syncope, lightheadedness, zoo li nws yuav dhau mus.
Lub cev tshwm sim
Qhov pib ntawm kev ceeb ntshai ntawm tus menyuam tuaj yeem pom tau los ntawm cov cim hauv qab no:
- Flashes cua sov los yog txias.
- High heart rate.
- Ua pa ntau ntxiv.
- tawm hws ntau dhau.
- Qub qhov ncauj.
- Pab mob sab laug ntawm lub hauv siab.
- Zoo los yog cem quav.
- Cias tes thiab ko taw.
- Nausea.
- Vim.
- Kev tsis xis nyob hauv plab plab.
- Nyob tsis muaj zog.
- kiv taub hau.
Cov tsos mob ntawm kev ceeb ntshai
Panic attack syndrome kuj tuaj yeem kuaj tau thaum lub sijhawm nyob ntsiag to:
- Tus me nyuam muaj kev ntxhov siab, cia siab tias yuav rov tshwm sim dua.
- Ntshai ntawm qhov xwm txheej lossis qhov chaw uas muaj kev qaug dab peg dhau los.
- Kev phem kev qias - ib tug neeg ntshai nyob ib leeg, caij tsheb thauj mus los, thiab lwm yam.
- Pom tseeb tshwm sim ntawm phobias: ntshai ntawm qhov chaw qhib, tuag, insanity,tsaus ntuj, etc.
- Lub npe hu ua asthenodepressive syndrome: pw tsaug zog tsis zoo, qaug zog, qaug zog, kua muag, lub siab tsis zoo, tsis zoo.
- Kev nyuaj siab.
- Hysterical disorders.
- kev xav tsis txaus ntseeg, kev ntxhov siab.
- Fussy.
Yuav ua li cas txo tus mob koj tus kheej?
Tus me nyuam muaj kev tawm tsam txaus ntshai. Yuav ua li cas? Ua ntej tshaj plaws, qhia nws kom daws tau qhov xwm txheej ntawm nws tus kheej - yog tias koj tsis nyob ib puag ncig:
- Raws koj tus kheej kom tus mob no tsis txaus ntshai, nws yuav dhau mus sai sai.
- plab ua pa, tsom ntsoov ua pa. Nco ntsoov tias qhov exhalation ntev dua qhov nqus pa.
- Ncua tus ntiv tes xoo, ntiv tes me me, pob ntseg, tsom rau ntawm kuv tus kheej qhov kev xav.
- Sib da dej sib piv: 20-30 vib nas this - dej sov, tib yam - txias.
- Kev cuam tshuam los ntawm ib yam dab tsi: saib ntawm qhov rais, movie, suab paj nruag.
- "Tau npau taws" ntawm kev qaug dab peg.
Yuav ua li cas pab tus menyuam muaj kev ntxhov siab? Peb pom zoo cov hauv qab no:
- Tsis txhob cia nws nyob ib leeg thaum muaj kev tawm tsam. Ua siab mos siab muag thiab hais lus ntsiag to: "Zoo, tuav, nws yuav dhau mus sai sai."
- Ua pa tob tob nrog koj tus menyuam, nyiam nws rov ua pa thiab ua pa tom qab koj.
- Ncua koj caj dab, xub pwg, nraub qaum.
- Pab kuv da dej qhov sib txawv.
- YMake chamomile, mint, txiv qaub balm, linden tshuaj yej.
- Tig rau suab paj nruag, yeeb yaj kiab, audiobook uas tuaj yeem kho taume nyuam.
- Hu nkauj ua ke, pib suav tsheb, daws teeb meem lej, hais lus paj huam - koj yuav tsum cuam tshuam tus menyuam hauv lub xeev no.
- Tingle me ntsis, hnia nws.
- Dilute 10 tee ntawm peony tincture / valocordin / valerian tincture / motherwort tincture hauv ib khob dej thiab muab rau koj tus menyuam.
Kev kho mob
Kev kho mob ntawm kev tawm tsam ntawm cov menyuam yaus tsuas yog yuav tsum tau muab los ntawm tus kws tshaj lij. Ib qho tseem ceeb yog kev kho tshuaj:
- Tricyclic antidepressants.
- Tranquilizers.
- Antidepressant serotonin reuptake inhibitors.
- Nootropics.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tshuaj loj uas cuam tshuam ncaj qha rau lub hlwb thiab kev nco qab ntawm tus neeg tuaj yeem tsuas yog muab los ntawm tus kws kho mob uas tuaj koom! Kev noj tshuaj rau tus kheej hauv qhov no ua rau muaj kev puas tsuaj rau tus menyuam lub siab. Tus kws kho mob tshwj xeeb xaiv cov tshuaj uas tsim nyog tshaj rau tus neeg mob, nws tus kheej mob, sau ib qho kev noj tshuaj, zaus ntawm kev tswj hwm thiab lub sijhawm ntawm kev kho mob.
Psychotherapeutic txoj kev kuj tau siv dav:
- Lub cev-oriented psychotherapy.
- Psychoanalysis.
- Hypnosis: Ericksonian thiab classical.
- Gest alt therapy.
- Neuro Linguistic Programming.
- Family Systems Therapy.
- Kev xav, thiab lwm yam.
Kev siv lub cev kho mob kuj tseem siv tau. Hauv particular, electrophoresis nrog magnesiumsulfate, bromoelectroson.
ntsuas kev tiv thaiv
Txhawm rau tso tus menyuam los ntawm kev tawm tsam tshiab, koj yuav tsum koom nrog kev tiv thaiv tag nrho:
- Kawm ua pa ua pa tawm. Nws yog ib qho tseem ceeb thiab yooj yim los txhim kho tus cwj pwm ntawm kev daws qhov kev ntxhov siab nrog kev pab ntawm "ua pa tob tob - ua pa tob".
- Kawm cov kev xyaum ua kom yooj yim tshaj plaws, khaws cov suab paj nruag rau kev xav.
- Koom koj tus menyuam hauv kev ua kis las - seev cev, rollerblading, skating, wrestling, thiab lwm yam.
- Tig mus rau kev ua ub ua no uas ua rau muaj kev ntxhov siab ntau ntxiv: saib cov kev lom zem thiab cov duab tas luav zoo, kev nyiam ua tshiab, ua duab kos duab - kos duab, paj ntaub, qauv, thiab lwm yam.
- Khaws ib lub chaw khaws ntaub ntawv ntiag tug, qhov twg los cuam tshuam tus kheej kev ua tiav.
- nruj tswj kev pw tsaug zog / tsaug zog.
- Tsim kev noj zaub mov kom raug rau tus menyuam. Ua tib zoo saib xyuas cov ntsiab lus ntawm cov khoom noj uas muaj vitamin C, calcium, zinc thiab magnesium.
- Xyaum tshuaj ntsuab - decoctions ntawm motherwort, linden, hop cones, valerian paus, chamomile paj.
Tam sim no koj paub txog cov tsos mob thiab kev kho mob ntawm kev tawm tsam ntawm cov menyuam yaus. Txawm hais tias qhov xwm txheej ntawm tus mob no tseem tsis tau paub meej rau cov kws tshawb fawb, cov lus pom meej meej tau tsim nyob rau hauv lub ntiaj teb kev kho mob rau kev pab tus kheej, kev kho mob thiab kev tiv thaiv kev ntsuas los pab tiv thaiv kev tawm tsam.
